Provider Relations Specialist Jobs
Provider Relations Specialist jobs are open across healthcare systems, managed care organizations, insurance carriers, and physician networks, at every level from entry-level coordinator to senior specialist and manager, with specializations in credentialing, network development, and provider contracting. Scan the live roles below and apply to whichever ones fit.
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Showing 5 of 91+ Provider Relations Specialist jobs
We’re excited you’re considering joining a great place to work!
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
We're looking for a Provider Relations Consultant to serve as a senior-level subject matter expert within our workers' compensation provider network. If you're a strategic, relationship-driven professional with deep knowledge of workers' compensation managed care, we want to hear from you.
Responsibilities & Qualifications
What You'll Do
- Manage complex, high-profile provider relationships including large occupational health systems and multi-specialty groups
- Lead contract negotiations, amendments, and renewals including fee schedule arrangements
- Develop, lead, and implement strategies to improve injured worker and provider satisfaction, network participation and engagement, and outcomes
- Identify network gaps and implement strategies to improve access, performance, and injured worker outcomes
- Develop and deliver training programs for providers and internal staff on workers' compensation billing, treatment guidelines, and state regulations
- Monitor provider performance data and collaborate with clinical teams to support evidence-based, return-to-work focused care
- Prepare and present reports on network metrics, claim outcomes, and strategic recommendations to leadership
What You Bring
- Bachelor's degree in Healthcare Administration, Business, or related field required; Master's preferred
- 8+ years of experience in provider relations, workers' compensation managed care, or occupational health
- In-depth knowledge of workers' compensation regulations, fee schedules, and evidence-based treatment guidelines
- Excellent analytical, communication, and presentation skills
- Proficiency in Microsoft Office Suite and data analytics tools
Texas Mutual Pay Transparency
The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.
Base Pay Range: $93,168.50 - $115,090.50 Per YearFlex-Hybrid Work Environment:
Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.
Our Benefits:
Annual performance bonus and merit-based pay increase
Lifestyle Savings Account ($1,000 per year)
Automatic 4% employer contribution to retirement plan
401k plan with 100% employer match up to 6%
Student loan repayment matching in 401k plan
Three weeks’ time off for vacation
Nine paid holidays and two personal days each year
Day one health, Rx, vision and dental insurance
Life and disability insurance
Flexible spending account
Pet insurance and pet Rx discounts
Free on-site gym, fitness classes, and health and wellness resources
Free identity theft protection
Free student loan repayment and refinancing consultation
Professional development and tuition reimbursement
Employee referral bonus
Free onsite snacks
We’re excited you’re considering joining a great place to work!
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
We're looking for a Provider Relations Consultant to serve as a senior-level subject matter expert within our workers' compensation provider network. If you're a strategic, relationship-driven professional with deep knowledge of workers' compensation managed care, we want to hear from you.
Responsibilities & Qualifications
What You'll Do
- Manage complex, high-profile provider relationships including large occupational health systems and multi-specialty groups
- Lead contract negotiations, amendments, and renewals including fee schedule arrangements
- Develop, lead, and implement strategies to improve injured worker and provider satisfaction, network participation and engagement, and outcomes
- Identify network gaps and implement strategies to improve access, performance, and injured worker outcomes
- Develop and deliver training programs for providers and internal staff on workers' compensation billing, treatment guidelines, and state regulations
- Monitor provider performance data and collaborate with clinical teams to support evidence-based, return-to-work focused care
- Prepare and present reports on network metrics, claim outcomes, and strategic recommendations to leadership
What You Bring
- Bachelor's degree in Healthcare Administration, Business, or related field required; Master's preferred
- 8+ years of experience in provider relations, workers' compensation managed care, or occupational health
- In-depth knowledge of workers' compensation regulations, fee schedules, and evidence-based treatment guidelines
- Excellent analytical, communication, and presentation skills
- Proficiency in Microsoft Office Suite and data analytics tools
Texas Mutual Pay Transparency
The base pay range is based on the market evaluation of the job and may include pay for multiple levels. Individual base pay within the range is determined by a variety of factors, including experience, performance, education, and demonstration of skills and competencies required for each role. Your recruiter can discuss the full value of our total compensation package with you, including our generous bonus plans and flex-hybrid work model.
Base Pay Range: $93,168.50 - $115,090.50 Per YearFlex-Hybrid Work Environment:
Texas Mutual’s flex-hybrid schedule allows you to bring your best self to work by working remotely and collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.
Our Benefits:
Annual performance bonus and merit-based pay increase
Lifestyle Savings Account ($1,000 per year)
Automatic 4% employer contribution to retirement plan
401k plan with 100% employer match up to 6%
Student loan repayment matching in 401k plan
Three weeks’ time off for vacation
Nine paid holidays and two personal days each year
Day one health, Rx, vision and dental insurance
Life and disability insurance
Flexible spending account
Pet insurance and pet Rx discounts
Free on-site gym, fitness classes, and health and wellness resources
Free identity theft protection
Free student loan repayment and refinancing consultation
Professional development and tuition reimbursement
Employee referral bonus
Free onsite snacks
Provider Relations Specialist Jobs by Experience Level
See All 91 Provider Relations Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
Find JobsProvider Relations Specialist Job Market
Who's Hiring
- Independent Living Systems12
- Molina Healthcare10
- American Health Plans5
- The Emily Program3
- Key Family of Companies3
Top Industries Hiring
- Healthcare & Medical Services
- Insurance
What Employers Look For
The qualifications that appear most often in provider relations specialist jobs.
- Bachelor's degree in healthcare administration, business, or a related field
- Experience working with provider networks, managed care, or health insurance operations
- Proficiency with provider data management systems and credentialing platforms such as CAQH
- Strong knowledge of healthcare reimbursement, claims processing, or contract terms
- Excellent verbal and written communication skills for provider-facing and internal stakeholder work
- Familiarity with NCQA or URAC accreditation standards and network adequacy requirements
Tips for Your Provider Relations Specialist Job Search
Tailor your resume to credentialing language
Provider relations roles split between network development and credentialing support, and job postings signal which side they lean. Mirror the exact terms from each posting, whether that's CAQH enrollment, provider onboarding, or network adequacy, so your resume clears automated screening.
Apply early to roles that fit
Migrate Mate lists provider relations specialist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Highlight conflict resolution and escalation experience
Many hiring managers screen specifically for candidates who've handled provider disputes or reimbursement complaints. Call out any examples where you de-escalated a billing conflict, resolved a credentialing delay, or turned around a dissatisfied provider relationship.
Target openings by payer type and market
Medicaid managed care, Medicare Advantage, and commercial insurance plans operate differently, and your background in one doesn't always translate cleanly to another. Filter your search by the payer environment you know best to maximize your fit score with hiring teams.
Prepare for scenario-based interview questions
Interviewers often present a provider threatening to leave the network or a billing dispute that's stalled for months. Prepare two or three concrete examples that walk through how you identified the root cause, who you engaged, and what the outcome was.
Negotiate using productivity metrics, not just tenure
When discussing compensation, reference measurable outcomes: provider retention rates you influenced, onboarding timelines you shortened, or complaint volumes you reduced. Payers and health systems respond to operational impact more than years of experience alone.
Provider Relations Specialist Jobs: Frequently Asked Questions
Which companies are hiring the most provider relations specialists?
The most active employers for provider relations specialists right now are Independent Living Systems, Molina Healthcare, and American Health Plans, and the most openings are in Florida, California, and Texas, based on current listings on Migrate Mate as of September 2026. Health plans, hospital systems, and managed care organizations consistently post the highest volume of these roles.
How many provider relations specialist jobs are remote?
About 90% of provider relations specialist openings are fully remote or hybrid as of September 2026, with the highest remote share in roles focused on telephone-based provider support, credentialing coordination, and network education rather than field-based account management, which still typically requires in-person travel within an assigned region.
How do you become a provider relations specialist?
Start with a bachelor's degree in healthcare administration, business, or a related field, then gain experience in a healthcare setting such as a medical office, insurance company, or hospital billing department. Build familiarity with credentialing workflows and provider contracting basics, obtain a CAQH ProView login if possible through an employer, and pursue a Certified Provider Credentialing Specialist designation to strengthen your candidacy for mid-level roles.
Can I get a provider relations specialist job with little or no experience?
Yes, entry-level provider relations roles exist at health plans and physician management organizations for candidates who demonstrate strong communication skills and basic healthcare administrative knowledge. Customer service experience in a medical office, insurance claims processing, or benefits verification translates directly. Highlighting any exposure to provider portals, CAQH enrollment, or prior authorization workflows will differentiate you from applicants with no healthcare background.
What does the provider relations specialist interview process look like?
Most hiring processes run two to three rounds, beginning with a recruiter screen focused on your healthcare background and availability. A panel or hiring manager interview follows, often including scenario questions about managing a provider dispute or explaining a reimbursement policy change. Some employers add a written exercise or a role-play simulating a difficult provider call before extending an offer.
Where can I find and apply to provider relations specialist jobs?
You can find and apply to provider relations specialist jobs on Migrate Mate, which lists current openings from across the United States. Search the roles available, find the ones that match your background and target market, and apply directly to each listing that fits.
See All 91 Provider Relations Specialist Jobs
Find roles that match your experience and apply in just a few clicks.
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